| NPI | 1952294233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GBEMISOLA VICTORIA ADEBAYO Owner 301-455-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-17 |