| NPI | 1023890217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SHAWN FIELDS Psychiatric Nurse Pracitioner 301-526-8924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |