| NPI | 1558025726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY OBIWUMA Provider 202-706-4423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |