| NPI | 1902970767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINIE CABANISS Director 434-847-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: VA 004947151) |
| Additional Taxonomies | 251C00000X (Licence: VA 000209023) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-10-08 |