| NPI | 1669977237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE NICOLE JOHNSON Quality Assurance Director 434-473-6955 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: VA 01403001) |
| Additional Taxonomies | 251S00000X (Licence: VA 01405001) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2021-10-27 |