| NPI | 1598367880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE DOH President 240-505-5427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2021-01-26 |