| NPI | 1164363313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLANIRETI ONABANJO CEO 240-732-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-04-02 |
| Last Update Date | 2026-07-27 |