| NPI | 1619634292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDINWE NAMANGA Psychiatric Nurse Practitioner 240-688-2517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2021-11-18 |