| NPI | 1538529334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BROWN BROOKS Volunteer Administrator 804-690-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 1401112429) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |