| NPI | 1740059476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOTUNRAYO ADEGORUSI Owner 240-432-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2024-09-13 |