Organization
COMPLETE WHOLE & COMPASSIONATE CARE CWC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL ROMONA WIGFALL DNP (PSYCHIATRIC NURSE PRACTITIONER)
(804) 594-6837
Entity
Organization
Contact information
Practice address
1700 HUGUENOT RD STE 2B, MIDLOTHIAN, VA 23113-2397
(804) 641-7816
Mailing address
1700 HUGUENOT RD STE E, MIDLOTHIAN, VA 23113-2397
(804) 594-6837
(804) 621-2248
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629306139
—
VA
Enumeration date
06/17/2020
Last updated
05/24/2021
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