| NPI | 1790393056 |
|---|---|
| Former Legal Business Name | MD TELEPSYCHIATRIC CENTER, L.L.C. |
| Doing Business As | MD TELEPSYCHIATRIC CENTER, L.L.C. |
| Entity Type | Organization |
| Authorized Contact | DR. ERNESTINE MBI ENOHMBI DNP, CRNP-FAMILY, CRNP-PMH Managing Partner 240-349-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363L00000X Nurse Practitioner | |
| 363LC1500X Nurse Practitioner, Community Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2022-07-05 |