| NPI | 1205697828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSUBA F CONTEH Authorized Official 703-721-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |