| NPI | 1538466388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA KREIS GURDZIEL Psychiatrist 757-340-7489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101037991) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |