| NPI | 1811407042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ALLEN BROWN Medical Director 757-645-3558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2022-04-27 |