| NPI | 1396402046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA TRENTON NEE Chief Operating Officer 301-739-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |