| NPI | 1700500998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAIWO OLAFUNMI ADEYEMO Nurse Practitioner 240-646-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2023-01-31 |