NPI | 1841812005 |
---|---|
Entity Type | Organization |
Authorized Contact | FUNMILAYO OLUGBEMI CEO 301-466-1322 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2020-05-11 |
Last Update Date | 2022-09-02 |