| NPI | 1992260574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MCDARRY NEWSOME-WILLIAMS Medical Director 301-664-3193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2024-09-25 |