| 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 |