| NPI | 1275300568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAN ROU YANG Psychiatrist 757-912-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-09-18 |