| NPI | 1114263258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS NYE Executive Director 540-433-4913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |