| NPI | 1528940012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MICHAEL WALSH Psychiatric Nurse Practitioner 804-465-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |