| NPI | 1003543778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON GLORIA HARVEY AO 757-606-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2025-03-06 |