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Organization
ESOWOH HEALTHCARE
Active
Organization
ESOWOH HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINA FOFANAH MS, BSN, RN (CEO)
(202) 304-0633
Entity
Organization
Contact information
Practice address
2012 THISTLEWOOD DRIVE, WASHINGTON, MD 20744
(202) 304-0633
(443) 449-5651
Mailing address
120 WATERFRONT ST STE 420, NATIONAL HARBOR, MD 20745-1122
(202) 304-0633
(443) 449-5651
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
06/25/2026
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