| NPI | 1982362489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRAOYA NABOTH ERUANGA CEO 301-357-4794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2026-08-12 |