| NPI | 1912788605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA SLAGLE Owner/President 434-444-6842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |