| NPI | 1790631331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATUMA NUNU ADEN Owner 240-938-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| Enumeration Date | 2026-03-06 |
| Last Update Date | 2026-03-27 |