| NPI | 1275425803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EL AGATHE ASOPO TANYI Owner 202-834-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |