| NPI | 1962284935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA MARIE BROWN Health Care Coordinator 757-962-3567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |