| NPI | 1245808666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THICKNESS PATRICK EGWUATU Provider/CEO 202-288-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-13 |
| Last Update Date | 2025-09-08 |