| NPI | 1174263222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBINNA CHUKWUEBUKA OKONKWO CEO 240-761-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-05-30 |