| NPI | 1841840733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI MARYANN OKUDOH President 301-332-7222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2020-01-29 |