| NPI | 1811437965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEI WU Owner 434-270-5922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: VA 0121000802) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |