| NPI | 1538428925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY LEONARD BURTON Sr. Vice President 888-513-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: VA ADC 12-1103701) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |