| NPI | 1124849567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH BRAXTON Owner 804-592-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2025-07-02 |