| NPI | 1851482814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LUCK Director 540-332-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |