| NPI | 1386856011 |
|---|---|
| Other Name | FZPA IOP |
| Entity Type | Organization |
| Authorized Contact | DENISE GUSTAFSON Practice Manager 757-466-0700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: VA 0810001640) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-05-03 |