| NPI | 1013635051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLUKE OMOBO CEO 240-552-2390 |
| 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 | 2022-08-16 |
| Last Update Date | 2023-01-27 |