| NPI | 1750749818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA FUTRELL CEO 757-591-0643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-10-18 |