| NPI | 1154058402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATINA KNIGHT Owner/Operator 757-752-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261QU0200X Clinic/Center Urgent Care | |
| 291U00000X Clinical Medical Laboratory | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2024-08-20 |