| NPI | 1427694017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL GLASGOW Manager Of Corporate Finance 804-764-5242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2021-05-18 |