| NPI | 1720627151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAJUDEEN OMODEOYE CEO / C RN P Pmh 240-583-0528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-06-24 |