| NPI | 1407462559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODUPE O ADENEKAN President 202-449-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2023-06-28 |