| NPI | 1366125569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L. TAYLOR Owner 804-531-4732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2026-06-06 |