| NPI | 1629688759 |
|---|---|
| Doing Business As | UNCHARTED TERRITORY, LLC |
| Entity Type | Organization |
| Authorized Contact | JONI J JOHNSON Owner 540-845-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |