| NPI | 1518055367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY FLANAGAN Fiscal Officer 540-863-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: VA 12702001) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-25 |