NPI | 1982362489 |
---|---|
Entity Type | Organization |
Authorized Contact | IRAOYA NABOTH ERUANGA CEO 301-357-4794 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 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 | 2023-01-31 |