NPI | 1942962006 |
---|---|
Entity Type | Organization |
Authorized Contact | NDUBUISI I OKOROAFOR President 301-646-1481 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-10-06 |
Last Update Date | 2021-10-06 |