| NPI | 1952072514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GRISETTI Director Of Operational Support 540-224-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2023-05-24 |