| NPI | 1730540741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KENNEDY Co Owner/Practice Manager 202-355-8587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2020-03-20 |