| NPI | 1144613225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON DAVID BREININGER President 757-467-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0401008404) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |