| NPI | 1316083165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID SCHMEDTJE Staff Psychiatrist 757-547-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0102037220) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |