| NPI | 1801489711 |
|---|---|
| Doing Business As | PANACEA BEHAVIORAL HEALTH & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | SANDRA WALKER NICHOLS CEO 757-251-0879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 225XH1300X Occupational Therapist, Human Factors | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2023-10-16 |