| NPI | 1275499535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLANLE SABA Pmhnp 301-363-0586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-12-30 |
| Last Update Date | 2026-01-21 |