| NPI | 1356724801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRISON V MORIN CEO 540-313-8976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101237343) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-16 |