| NPI | 1205176872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA KEE ALEXANDER Executive Director 434-847-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: VA 305S00000X) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |