| NPI | 1740529866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GILBERT Chief Legal Officer 757-941-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2024-06-25 |