NPI | 1932554953 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES EDWARD THOMPSON CEO 804-564-2746 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 0101246355) |
Enumeration Date | 2016-04-27 |
Last Update Date | 2016-04-27 |