| NPI | 1861255242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAKEMI OSIDELE President 240-575-9940 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |