NPI | 1588548945 |
---|---|
Doing Business As | GUIDING-LIGHT BEHAVEROL HEALTH |
Entity Type | Organization |
Authorized Contact | BOSE ROSE AJAYI CEO 202-730-5436 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-07-31 |
Last Update Date | 2025-09-10 |