| NPI | 1245816388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOSEDE M ADELEYE Pmhnp 301-512-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2024-04-29 |