| NPI | 1972174464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA ELAINE LUMPKINS Physician Assistant 301-573-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-06 |