| NPI | 1033127188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOUISE CLEMSON President 757-622-6673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VA 0015000529) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-03-26 |