| NPI | 1265925648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA BONITA WEAVER CEO/Owner 804-439-2206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2026-08-17 |