| NPI | 1922742998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWLAWN LYNETTE FREEMAN-HICKS Psychiatric Nurse Practitioner 804-944-5057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2024-07-29 |