NPI | 1952102808 |
---|---|
Entity Type | Organization |
Authorized Contact | IFEOMA ONYEIWU Provider 301-404-0355 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-03-24 |
Last Update Date | 2025-03-24 |