| NPI | 1902656929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SHERIDAN Principal Clinician & CEO 202-640-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |