| NPI | 1750838520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL SULLIVAN Administrator 540-373-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: VA ADC566231) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |