| NPI | 1548424831 |
|---|---|
| Doing Business As | SANDI HODGES |
| Entity Type | Organization |
| Authorized Contact | SANDI GALE HODGES Owner/Therapist 540-484-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 0701003548) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: VA 0701003548) |
| 305R00000X Preferred Provider Organization (Licence: VA 0701003548) | |
| 305S00000X Point of Service (Licence: VA 0701003548) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |