| NPI | 1790329530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KULVINDER SINGH BASRA Office Manager 240-949-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2020-10-14 |