| NPI | 1780326421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELIAT AJOKE DOSUNMU Nurse Practitioner 571-349-8285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2024-10-23 |