| NPI | 1831704121 |
|---|---|
| Other Name | MENTAL HEALTH GROUP THERAPY PROVIDER |
| Entity Type | Organization |
| Authorized Contact | NKEM ZOS C RN P Pmh 301-769-6558 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2020-09-13 |