| NPI | 1487101747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUGHANASSEE B VINES President 757-310-7405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 176B00000X Midwife |
| Enumeration Date | 2016-09-04 |
| Last Update Date | 2022-12-30 |