| NPI | 1710067566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GREGORY SMITH President 276-628-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: VA 0018932441) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-12-29 |