| NPI | 1922615988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURAGE NTUMLA KWI-MANCHO Owner 240-505-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2021-11-24 |