| NPI | 1427670090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN UMEUGO Nurse Practitioner 240-605-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-05-17 |
| Last Update Date | 2020-05-17 |