| NPI | 1700837838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE W BOYLES President 276-628-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA No state license) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2020-08-22 |