| NPI | 1245745918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNER CHARLES C RN P/ Owner 240-419-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R229551) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |