| NPI | 1548582463 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | CHESTER HART Manager 757-736-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |