| NPI | 1801285598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH S POWELL Member 540-351-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024172100) |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2015-01-18 |