| NPI | 1700486099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI MYRICK Nurse Practitioner 757-653-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-12-07 |