| NPI | 1326499062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE SHIRILLA Owner 804-450-3497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: VA 0001064850) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |