| NPI | 1124654652 |
|---|---|
| Former Legal Business Name | MD TELEPSYCHIATRIC CENTER, L.L.C. |
| Entity Type | Organization |
| Authorized Contact | ERNESTINE M ENOHMBI Partner 240-349-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| 363L00000X Nurse Practitioner | |
| 363LC1500X Nurse Practitioner, Community Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2022-07-05 |