| NPI | 1164442281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL CHAMBERS Mgr Insurance Credentialing 540-536-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA H1913) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker Clinical | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA H1913) | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-11-27 |