| NPI | 1487373270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECELIA TAMBA President 240-354-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-08-23 |