NPI | 1558028324 |
---|---|
Entity Type | Organization |
Authorized Contact | MEDHIN GEBREAMLAK President 703-732-7126 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-11-29 |
Last Update Date | 2024-01-12 |