| NPI | 1235115239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE C CAMARDELLA CEO 757-312-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA 0220000405) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2015-03-10 |