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, Psych/Mental Health | |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
Enumeration Date | 2023-09-27 |
Last Update Date | 2023-09-27 |