| NPI | 1255442570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES S. SIKKEMA Director 540-345-9841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: VA 0904004852) |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |