| NPI | 1306469952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIMENE KISWEY DIOMI Owner 240-401-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2023-08-09 |