| NPI | 1720480908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA STOKES RAMSEY Director 434-336-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 1670-03-0001) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2024-01-31 |