| NPI | 1245092188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN MESHILEYA C RN P Pmh, Pmhnp 301-538-5113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-03-06 |