| NPI | 1376141234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENISE MAXINE BINNS Owner 757-778-5146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2021-05-04 |