| NPI | 1831917533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN M ELLIS CEO 804-387-9344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |