| NPI | 1932621919 |
|---|---|
| Other Name | VALLEY HEALTH FAMILY MEDICINE - TAVERN ROAD |
| Entity Type | Organization |
| Authorized Contact | RENEE NEVADA JOHNSON Credentialing Coordinator 540-536-0103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2020-10-28 |