| NPI | 1841615838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DELUCA Director 540-526-2202 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2023-03-09 |