| NPI | 1114089075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOSEPH HARDY President 757-463-1234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101043703) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-10-26 |