| NPI | 1356105738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MBUTAMBE ARREY AKPANG Office Manager 202-658-6844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-13 |