| NPI | 1881104891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA QUARLES Director Of Clinical Records 540-993-1229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 158-02-029) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2018-03-17 |