| NPI | 1679396808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA D. SMITH CEO 240-258-8807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2025-02-10 |