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