| NPI | 1093605610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA DAWKINS Nurse Practitioner 757-991-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-08-05 |