| NPI | 1437516531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MALLORY President 804-527-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: VA 0101232522) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2018-11-30 |