| NPI | 1821439696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNYCE CATHERINE TREHERNE President 757-838-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101247612) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-11-05 |