| NPI | 1609641703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDYS OBEN EYONG Owner 301-532-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2024-08-11 |