| NPI | 1154634517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E. DRISCOLL Director 434-200-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: VA 116022195) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |