| NPI | 1407447568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURAGE NTUMLA KWI-MANCHO Owner 240-505-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2022-01-07 |