NPI | 1649065574 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY TAMA Lpn 301-323-8520 |
Organization Subpart ? | No |
Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
Enumeration Date | 2025-04-11 |
Last Update Date | 2025-04-11 |