| NPI | 1770332405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINA AGARUWA Owner 240-374-2574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-09-11 |