| NPI | 1346084951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NDENE DERICK SALLE Co Founder 240-425-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |