| NPI | 1205454311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD GWAIN CHIA Nurse Practitioner 240-595-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |