| 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 |