| NPI | 1750161576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J POPOVICH Owner/Provider 804-251-1645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |