| NPI | 1528479094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD JOHN FAULKNER Owner 240-362-7723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R176326) |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2014-10-01 |