| NPI | 1790329530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KULVINDER SINGH BASRA Office Manager 240-949-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 103TR0400X Psychologist Rehabilitation |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2025-02-18 |