NPI | 1972140069 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY OGUNLOWO-OMOBHUDE President 240-602-7035 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-12-08 |
Last Update Date | 2019-12-08 |