| NPI | 1710180542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D. REILLY Physician 757-253-0691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101041722) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |