| NPI | 1134656747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM DENNIS GATES Psychiatric Nurse Practitioner 301-955-9812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist Prescribing (Medical) (Licence: MD R207808) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |