| NPI | 1023804861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL GIKONYO President 443-377-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |