| NPI | 1013448760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOFO ABIRU-ADEBAMBO CEO / Owner 240-869-7939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2023-04-11 |