| NPI | 1396441416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIA COLEY Admin/Provider 240-350-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2024-06-29 |