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Organization

DIVINE MENTAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AGATHA NWANGWU NP (FOUNDER)
(301) 996-1230
Entity
Organization

Contact information

Practice address
7406 9TH ST NW, WASHINGTON, DC 20012-1702
(301) 996-1230
Mailing address
7406 9TH ST NW, WASHINGTON, DC 20012-1702

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
04/11/2021
Last updated
09/17/2021
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