The Hunter Holmes McGuire VA Medical Center, located in Richmond, Virginia, is a 399-bed facility offering primary, secondary, and tertiary health care in medicine, surgery, neurology, rehabilitation medicine, intermediate care, acute and sustaining spinal cord injury, skilled nursing home care, and palliative care. Primary and secondary levels of care are provided in psychiatry beds, along with a substance abuse rehabilitation program. Richmond offers a broad range of diagnostic and therapeutic services including a 12-station dialysis unit, magnetic resonance imaging, cardiac catheterization, mammography, radiation therapy, electrophysiology, photophoresis and lithotripsy. Richmond is a national referral center for heart, lung and liver transplantations, and the medical center acts as a tertiary care referral center for subspecialty treatment, traumatic brain injury, open-heart surgery, oncology, and vascular diseases. The medical center has two community-based outpatient clinics located in Charlottesville and Fredericksburg, Virginia, and a strong and mutually beneficial affiliation with the Medical College of Virginia. Residency programs exist in virtually all general and specialty areas of medicine, rehabilitation, surgery, psychiatry, and dentistry. The medical center is the host site for a Parkinson's Disease Research, Education and Clinical Center (PADRECC), one of six in the nation.