| NPI | 1629616107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE O OGUNSOLA Owner 240-813-3814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |