| NPI | 1972717221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIAM ROSCHE President 434-572-8772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101043289) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2017-02-16 |