| NPI | 1801608518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE GERMAINE N BEUKAM Owner 240-838-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-29 |