| NPI | 1578324117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSUBA CONTEH Authorized 703-721-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |