| NPI | 1174994388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS HUNTER MCMULLAN President 804-200-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: VA 0101011412) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |