| NPI | 1346007630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH SMITH Owner 434-865-0967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 175T00000X Peer Specialist | |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-11 |