| NPI | 1861081002 |
|---|---|
| Other Name | KP OPTIMUM CARE |
| Entity Type | Organization |
| Authorized Contact | KATUMU FRANCES PETTIQUOI CEO 301-641-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-01-12 |