| NPI | 1922552512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN G LEPRO CEO 540-362-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-12 |