| NPI | 1639290893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN JAWAN BROWN Head Nurse 757-221-4386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: VA 0024164693) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: VA 0101023275) |
| 261QH0100X Clinic/Center, Health Services (Licence: VA 0101023274) | |
| 261QH0100X Clinic/Center, Health Services (Licence: VA 0110002232) | |
| 261QH0100X Clinic/Center, Health Services (Licence: VA 0001070729) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-07-14 |