| NPI | 1639799141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYODEJI BAMIDELE OLAWALE CEO 301-905-2947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2026-04-16 |