| NPI | 1417041484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY FLANAGAN Fiscal Officer 540-965-2135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: VA 12716001) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-01-23 |