| NPI | 1669341475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLATUNDE AKINNOLA AKINFOLAJIMI Owner 804-647-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-11-17 |