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