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 |