| NPI | 1659884559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SHANNON Director 540-283-4433 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: VA ADC1103765) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-03-09 |