| NPI | 1194594317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MANKA NGWA Pmhnp 240-755-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2024-04-05 |