| NPI | 1770090706 |
|---|---|
| Former Legal Business Name | FIELD ENTERPRISE, LLC |
| Entity Type | Organization |
| Authorized Contact | MARY CRUTCHFIELD Np 757-339-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |