| NPI | 1639258478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL A HOLLAND Assistant Administrator 757-873-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-11-10 |