| NPI | 1487472759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLULOPE OGUNTOMI Owner 301-213-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-10-21 |