| NPI | 1184748667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA RICHARDSON Psychiatric Nurse Practitioner 301-907-6695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R121391) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-06-23 |