| NPI | 1770216871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YESIDE OJO CEO 240-682-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2023-02-22 |