| NPI | 1871848184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA WILLIS CEO 757-393-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2019-06-25 |