| NPI | 1144911603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA NKONGCHU Owner Of Entity 240-599-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |