| NPI | 1083244354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM COOK Nurse Practitioner 240-353-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-10-26 |