| NPI | 1366855207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA DELZINGARO Executive Director 434-847-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |