| NPI | 1487836433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MOUNAIMNE Office Manager 757-464-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101033361) |
| Enumeration Date | 2007-12-02 |
| Last Update Date | 2007-12-02 |