NPI | 1740998327 |
---|---|
Entity Type | Organization |
Authorized Contact | RUTH WILLIAMS Owner 240-466-2855 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2022-11-11 |
Last Update Date | 2024-10-30 |