| NPI | 1316103278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON MYERS Office Manager 757-460-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-09-02 |