| NPI | 1578761078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MCCLELLAND Administrator 540-316-6303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: VA 0401006380) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2019-11-19 |