NPI | 1902635881 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICE QUELCH Owner 240-351-6760 |
Organization Subpart ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-07-30 |
Last Update Date | 2024-07-30 |