| NPI | 1013775063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YETUNDE OLOTO Owner 240-714-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |