| NPI | 1336023381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KORVER Managing Member 804-938-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-06 |