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