| NPI | 1689835910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GARZON Attending Physician 540-535-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: VA 42901006) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |