NPI | 1235027137 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI PALCIC Owner 757-356-2884 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-06-27 |
Last Update Date | 2025-08-22 |