| NPI | 1184403214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIYUSH K PATEL Medical Director 301-540-9447 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult | |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |