| NPI | 1396587226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAECHI IMELDA OLUMBA Pmhnp Np 202-403-9934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-09-03 |