| NPI | 1508514779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANA N IKOME Owner/CEO 301-792-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2023-03-16 |