| NPI | 1902128044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ELIZABETH BOYER Psychiatric Nurse Practitioner 434-972-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0024168292) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-24 |