| NPI | 1689383655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA OBENG Nurse Practitioner 571-209-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2024-01-02 |