| NPI | 1225677909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIRGIT GABRIELE WHYARD Chief Executive Officer 540-215-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 207RA0401X Internal Medicine Addiction Medicine | |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2022-07-14 |