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 |