| NPI | 1922742758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ROYSTER Senior Manager Of Accounting 804-323-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |