| NPI | 1104792787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHMOT RAJI Authorized Official 240-421-4164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-11-19 |