| NPI | 1740359223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE COLLEY Business Administrator 757-483-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2021-11-07 |