NPI | 1205072436 |
---|---|
Other Name | JACKSON VA CBOC |
Entity Type | Organization |
Authorized Contact | ERIN POTTER Npi Team Member 202-382-2579 |
Organization Subpart ? | No |
Primary Taxonomy | 261QV0200X Clinic/Center, VA |
Enumeration Date | 2008-12-17 |
Last Update Date | 2017-09-13 |