| NPI | 1114539780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY FARLEY President 804-991-4197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |