NPI | 1467266262 |
---|---|
Entity Type | Organization |
Authorized Contact | BARNEY BRYANT PARSON Owner 757-726-7791 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 207Q00000X Family Medicine |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2025-02-03 |
Last Update Date | 2025-10-10 |