| NPI | 1891556015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAKEMI OLUBUNMI OSIDELE President 240-575-9940 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |