NPI | 1093469231 |
---|---|
Entity Type | Organization |
Authorized Contact | MELVEENA JOHNSON-BOLDEN CEO/Nurse Practitioner 240-301-1034 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
Enumeration Date | 2022-02-07 |
Last Update Date | 2023-05-22 |