| NPI | 1528864881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER EZEKIEL JACKSON Owner/Psychiatrist 301-246-2586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |