| NPI | 1962275578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA L CAPPS Owner 804-215-6963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |