| NPI | 1093967788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA O. JOHNSON President/Owner 804-732-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101039958) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |