| 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 |