| NPI | 1013799030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SAFO Owner 240-723-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |