| NPI | 1194300475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAKEMI OGUNSEYE President 301-477-7930 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-07-09 |