| NPI | 1962064089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD SIMPSON Vice President Strategic Initiative 434-974-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2019-06-29 |