| NPI | 1619726429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADISLAVA OLEGOVNA SYNENKO Nurse Practitioner 757-769-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |