| NPI | 1467208132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALECIA BALL Owner/CEO 804-577-3874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2025-05-30 |