| NPI | 1740435650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK JEAN FREIHOFER President 804-861-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101052210) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |