| NPI | 1679383087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMUTHA DANIEL Managing Member 240-507-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |