| NPI | 1265302228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MELVIN Office Manager 240-253-1978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-11-12 |