| NPI | 1386409621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA BURRELL-ODEYEMI Owner 301-412-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |