| NPI | 1477224343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGO A TUNDE-SANYA Owner Of Entity 301-957-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2025-07-15 |