| NPI | 1639893118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY PAUL ANDREWS Owner 757-630-6865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |