| NPI | 1528027026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA COLEN Administrative Director 757-496-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA OH681) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2008-06-17 |