| NPI | 1700300423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEDY CAMPOS Owner 540-891-7891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024168053) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2022-07-21 |