| NPI | 1487244364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FINNY MATHEW Preident 434-847-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 251B00000X Case Management | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2023-06-05 |