NPI | 1376154609 |
---|---|
Doing Business As | BDMHS |
Entity Type | Organization |
Authorized Contact | LATOYA YVETTE BRAGG Owner/Employee 804-315-3771 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2020-08-11 |
Last Update Date | 2022-08-19 |