| NPI | 1477237303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA APRIL LATOAK LEE Nurse Practitioner 240-756-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |