| NPI | 1598128696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER L GUHL Owner 757-890-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: VA 0603000444) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: VA 0603000444) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-26 |