| NPI | 1477677748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA HAVERTY Office Manager 757-925-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102037142) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |