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 |
Enumeration Date | 2021-03-17 |
Last Update Date | 2021-07-09 |