| NPI | 1285331462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE MATTHEW LAWRENCE Senior Clinician 757-490-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-08 |