| NPI | 1366580755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN MINKS Owner 540-260-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0102201820) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-06-27 |