| NPI | 1043866866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNI GRIFFIN Nurse Practitioner 202-400-1677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-10-02 |