| NPI | 1215609748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL MARIE WILLIAMS-KENT Owner/Provider 757-324-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-10-03 |
| Last Update Date | 2022-05-04 |