| NPI | 1285500801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA LYNN BOZARD Owner/Pmhnp 757-503-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-12-10 |