# ESOWOH HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528826690
- **Authorized official:** AUGUSTINA FOFANAH MS, BSN, RN (CEO)
- **Authorized official phone:** (202) 304-0633

## Contact information

- **Practice address:** 2012 THISTLEWOOD DRIVE, WASHINGTON, MD 20744
- **Practice address phone:** (202) 304-0633
- **Practice address fax:** (443) 449-5651
- **Mailing address:** 120 WATERFRONT ST STE 420, NATIONAL HARBOR, MD 20745-1122
- **Mailing address phone:** (202) 304-0633
- **Mailing address fax:** (443) 449-5651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2024
- **Last updated:** 06/25/2026