| NPI | 1730385998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ELIZABETH FORBES Owner 757-596-6369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: VA 0101013203) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-04-20 |