| NPI | 1871043588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA MARIE CASEBOLT Owner/Psychiatric Nurse Practitione 434-315-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024167534) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |