| NPI | 1306431168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFEMWONYI FRANK JESUOROBO Director 202-368-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-05-07 |