| NPI | 1497451553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAKEMI AJE Clinical Director 571-409-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-09-01 |