| NPI | 1023825809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOASONG ATEAWUNG Nurse Practitioner 240-533-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-14 |
| Last Update Date | 2025-03-11 |