| NPI | 1629030812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERA Y GENINA Medical Director 804-873-8389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101057836) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-08-22 |