| NPI | 1437044591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAJUMOKE ADEMOLA ADETUNJI Provider 571-299-8978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |