| NPI | 1679957120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE MULL Nurse Practitioner 240-362-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R129899) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2016-02-05 |