| NPI | 1881657773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS FAUSTINO IGNACIO President & CEO 757-547-1638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101046136) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-08-22 |