| NPI | 1346865078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL THORPE Director Of Operations 804-814-4378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-11-07 |