| NPI | 1851974885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEBOLA TOYOSI ADERETI CEO 240-603-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 164W00000X Licensed Practical Nurse | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |