| NPI | 1659074243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MATTHEW EYNON Owner, Provider 757-524-3887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-03-23 |