| NPI | 1205771409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE BELEHO WOUEKO Owner 240-730-7329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-04-22 |
| Last Update Date | 2026-04-22 |