NPI | 1295584050 |
---|---|
Entity Type | Organization |
Authorized Contact | JEMIMA FRIMPONG KODUA Nurse / RN, Bsn, Msn, Dnp 240-626-3286 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-05-15 |
Last Update Date | 2024-05-15 |