NPI | 1093575805 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA ABERNATHY BASS Founder 804-337-3690 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-03-20 |
Last Update Date | 2024-12-22 |