| NPI | 1962207415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMILOLA MONROE Owner/Provider 540-696-5069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |