| NPI | 1871031260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KD BLUM Owner 434-987-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VA 0015070939) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |