| NPI | 1316926538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY CAMPBELL CEO 434-455-2480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2015-04-07 |