| NPI | 1518718980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ORIAIFO Owner 240-350-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-09-06 |