| NPI | 1174201818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAKEMI OSIDELE CEO 240-582-1022 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-07-11 |