| NPI | 1679256069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA OKEKE Joint Owner 571-277-0841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |