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