| NPI | 1811692411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHACHA CEROME Nurse Practitioner 804-601-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-01-23 |