NPI | 1962278069 |
---|---|
Other Name | OLIVE TREE 1 CARE |
Doing Business As | THE OLIVE TREE 1 CARE |
Entity Type | Organization |
Authorized Contact | JAVON CORY OLIVER Executive Director Sole Proprietor 202-340-1953 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 207Q00000X Family Medicine |
363LC1500X Nurse Practitioner, Community Health | |
Enumeration Date | 2023-11-29 |
Last Update Date | 2024-11-18 |