| NPI | 1790620391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA WEAVER Nurse Practitioner 804-534-1673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-04-21 |
| Last Update Date | 2026-04-21 |