| NPI | 1346011814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET SMITH STASIAK Owner/ Director 301-355-3860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-09-28 |