| NPI | 1871183228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWASEYI OLADUNJOYE-PHILLIPS President 301-237-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |