| NPI | 1578130357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRIAM DIATTA Nurse Practitioner 301-728-3574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-06-09 |