| NPI | 1770308975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYCENTA HALLE Owner Authorized Official 301-801-0427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |