| NPI | 1265040653 |
|---|---|
| Doing Business As | BEHAVIORAL HEALTH AND THERAPY CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMAOBI HARDY AGBOR Authorized Official 301-693-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-10-02 |