NPI | 1053890111 |
---|---|
Entity Type | Organization |
Authorized Contact | AYO OKORO President 301-907-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2018-08-09 |
Last Update Date | 2024-02-26 |