| NPI | 1285396366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARTONIAH HASSAN President 301-792-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2022-09-07 |