| NPI | 1245478221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MARIE ROBIDA Client Services Coordinator 757-727-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: VA 0024166077) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2019-05-29 |