| NPI | 1700600665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONJANIKA BALLARD Business Consultant 804-441-8538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |