| NPI | 1891583316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE DANIELLE BELL Provider 757-236-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 183500000X Pharmacist | |
| 363LP2300X Nurse Practitioner Primary Care | |
| 101YM0800X Counselor Mental Health | |
| 261Q00000X Clinic/Center | |
| 363L00000X Nurse Practitioner | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QS1000X Clinic/Center Student Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 333600000X Pharmacy | |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-09-03 |