NPI | 1003425844 |
---|---|
Entity Type | Organization |
Authorized Contact | BINTA BOJANG Nurse Practitioner 301-379-8180 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2020-07-28 |
Last Update Date | 2020-11-10 |