| NPI | 1609169408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULOLA ADEKOYA Lead Physician 804-482-5487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: VA 0017139431) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |