| NPI | 1912568098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND O AKINLOSOTU Owner 301-474-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |