| NPI | 1699036913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB BETHEL PATTERSON Owner 434-792-6387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: VA 0201004278) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2022-10-12 |