| NPI | 1215635099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAN LINFORD Senior Provider Network Analyst 301-315-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103G00000X Clinical Neuropsychologist | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-21 |