| NPI | 1154186724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESABELLA MAH TEBID MBAH Medical Director 202-257-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |