| NPI | 1316236607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL R WASKIN Medical Director 804-320-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |