| NPI | 1366628760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BROADNAX HARRIS Chief Administration Officer 804-837-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA ss36507) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |