| NPI | 1831076769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY BAGBY Nurse Practitioner, Owner 757-374-8839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-09-11 |