NPI | 1730123472 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE GRISETTI Director Of Operational Support 540-224-5352 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-06-15 |
Last Update Date | 2023-05-24 |