| NPI | 1477309086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENATTA AMOURE BETHEA CEO 757-839-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2025-07-17 |