| NPI | 1841976750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDA ROBB Nurse Practitioner/ President 240-938-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2025-11-24 |