| NPI | 1588717219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE F. WILKINS Administrator 276-694-8678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: VA H1919) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-06-20 |