| NPI | 1790217214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MARY SORENSEN-TANENBAUM Nurse Practitioner/Office Manager 301-741-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D19680) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R160645) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |