| NPI | 1437942653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW B SMITH Single Member/Owner 804-223-2761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |