| NPI | 1114803491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE ST JOHN Practice Owner/Manager 240-462-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-22 |