| NPI | 1942881982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYSINTINE PALLE Owner 240-593-8071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-04-15 |