| NPI | 1316546575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHAOMA ROSE NNEBEDUM President 240-467-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2021-05-25 |