| NPI | 1982554473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE NICOLE GOOSBY Pmhnp 301-973-6102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-02-02 |
| Last Update Date | 2026-08-02 |