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Organization
NIK JEFFERSON OOI, LLC
Active
Organization
NIK JEFFERSON OOI, LLC
Active
Other names
Randolph Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NIK JEFFERSON OOI AGNP, PMHNP (PARTNER)
(434) 409-7543
Entity
Organization
Contact information
Practice address
3901 RANDOLPH RD, SILVER SPRING, MD 20902-1052
(301) 949-4994
Mailing address
3901 RANDOLPH RD, SILVER SPRING, MD 20902-1052
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/12/2023
Last updated
03/06/2024
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