| NPI | 1306469952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIMENE KISWEY DIOMI Owner 240-401-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2024-12-04 |