| NPI | 1811689599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS CHRISTOPHER WILSON Psychiatric Nurse Practitioner 301-741-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |