| NPI | 1821399882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN RICE Director Of Clinical And Community 804-270-6566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 1438-05-001) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |