| NPI | 1699386789 |
|---|---|
| Doing Business As | ELITE MULTI SPECIALTY CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | ADAORA PERPETUA NOUMMY Office Admin 301-592-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 251S00000X | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |