| NPI | 1487964722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DAWANE DUNCAN Chief Excutive Officer 757-472-3646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0810004297) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |