| NPI | 1114788999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE FELIZ POWELL Nurse Practitioner 202-449-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |