| NPI | 1598499055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONISHA JEANE MELVIN Provider/Nurse Practioner 240-669-7496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-12 |