| NPI | 1972270825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAORA EDNA OGBUACHI CEO 301-437-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2023-11-21 |