| NPI | 1952791600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GRISETTI Director Of Operational Support 540-224-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: VA H1837) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2023-05-24 |