| NPI | 1376054395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE ORME WATERS Corp. Director Of Clinical Services 804-729-9248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: VA 090300258) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |