| NPI | 1083876403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER D GOBBLE Owner/Director 540-293-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: VA 1225-03-001) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-07-22 |