| NPI | 1245082270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIOS NICHOLAS PERATSAKIS Executive Director 757-377-2397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |