NPI | 1780058628 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA DELZINGARO CEO 434-200-3873 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-11-16 |
Last Update Date | 2020-06-02 |