| NPI | 1902473028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE CANTERBURY Administrator 434-977-4091 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |