| NPI | 1467781799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN F JACKSON Cheif Executive Officer/LLC 804-501-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 1162-02-030) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2013-12-03 |