| NPI | 1962278069 |
|---|---|
| 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 ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2024-04-02 |