| NPI | 1295706588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL KING CEO 434-696-2165 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207Q00000X Family Medicine | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2024-02-07 |