| NPI | 1497365506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYOOLA JULIANA OYENUGA Owner 240-821-2195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2022-10-19 |