| NPI | 1154484285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE ARONDA CUNNINGHAM Lpn 757-314-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: VA 0002053865) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |