| NPI | 1225733637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANIYAT EFUNTOYE CEO 240-357-8763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |