| NPI | 1952151714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN BISANGA DZATI Authorized Official 240-468-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |