| NPI | 1790494573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE NKEIRUKA BEN-AGU President 571-505-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-02-02 |