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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