| NPI | 1487089512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DULANEY Executive Director 540-741-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: VA 0024105931) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |