| NPI | 1386979243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN PUMPHREY Physician/Manager 540-463-4079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0101245066) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2011-08-13 |