NPI | 1730784398 |
---|---|
Entity Type | Organization |
Authorized Contact | NDIDIAMAKA EZINNE MBAKPUO Managing Director 301-712-4637 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM1300X Clinic/Center Multi-Specialty | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2020-12-02 |
Last Update Date | 2025-06-24 |