| NPI | 1518219666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL W BERT Vice President For Finance 540-432-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: VA 0101031417) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |