NPI | 1457909269 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA ABRAHAM Physician/ Director 540-343-1235 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2019-08-27 |
Last Update Date | 2019-08-27 |