NPI | 1356554034 |
---|---|
Doing Business As | TLC CHARLOTTESVILLE |
Entity Type | Organization |
Authorized Contact | BRIAN L. ANDREW Secretary 636-534-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2007-05-08 |
Last Update Date | 2020-08-22 |