| NPI | 1417631433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERPETUA NNENNA ANTHONY Pmhnp 240-645-3674 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-03-27 |