| NPI | 1598797714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER CAPRISE Board President 434-947-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA OH673) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-07-01 |