| NPI | 1306135744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J GORDON BURCH Sole Owner 540-342-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101030765) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-06-29 |