| NPI | 1013139047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH M KRAKAUR Executive Vice President 757-594-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |