| NPI | 1548251861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JITENDRA S DESAI Owner 540-344-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: VA 523) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-08-22 |