| NPI | 1063033702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM ZIMELA Owner 240-704-4977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2023-11-04 |