| NPI | 1659669596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH MERCHENT CEO 804-783-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2021-07-14 |