| NPI | 1255094819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SUNDAY Office Manager 301-788-2427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-10-20 |