| NPI | 1063676161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER D MARCUS President 757-873-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101026479) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |