| NPI | 1003601006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLETTA WASHINGTON Manager 240-230-7090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-04-10 |