| NPI | 1396073698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISSEY D CURRY Administrator 757-368-0672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101246437) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2010-06-17 |