| NPI | 1720468499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWINA D SABA Office Manager 757-865-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: VA 0101033982) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |