| NPI | 1215795935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA LWANGA President 240-281-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-04-05 |