NPI | 1821855206 |
---|---|
Entity Type | Organization |
Authorized Contact | JOAN OBOITE Owner 202-412-4224 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-08-05 |