| NPI | 1508972118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA JENKINS VP 804-775-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA OH691) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2025-08-07 |