| NPI | 1427883255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINA U NYECHE Np 804-243-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-10 |