| NPI | 1508641309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETH EKWE Owner Of Entity 240-791-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |