| NPI | 1386257533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIOSHO OKOJIE CEO 443-759-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |