| NPI | 1346931169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFUNMILAYO ONUOHA Owner 240-825-3173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-08-22 |