| NPI | 1245574177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH THOMAS REACH President 276-206-8197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: VA 41174) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |