| NPI | 1225352479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY H KARAS Manager 804-833-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 186308) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |