| NPI | 1740988690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER WAY Nurse Practitioner 757-576-6537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-04-20 |