NPI | 1972750420 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN MURRAY CHALENDER Qwner/President 757-480-5673 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101231458) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2008-08-26 |
Last Update Date | 2008-08-26 |