| NPI | 1982940482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE A GERMANO Medical Director 757-453-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101222715) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2025-12-13 |