| NPI | 1801638168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANN KOCH Pmh Nurse Practitioner 240-338-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-06-08 |
| Last Update Date | 2024-06-08 |