| NPI | 1497437883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATIENCE OTAIGBE Nurse Practitioner 703-216-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |