| NPI | 1912537440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN WADE-FOSTER Np C 434-251-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2022-02-24 |