Organization
AFFECT OPTIMUM BEHAVIORAL HEALTH, LLC
Active
Organization
AFFECT OPTIMUM BEHAVIORAL HEALTH, LLC
Active
Parent organization
AFFECT OPTIMUM BEHAVIORAL HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFFECT OPTIMUM BEHAVIORAL HEALTH LLC
Authorized official
DR. NGOZI MARYANN OKUDOH DNP, PHMNP-B, FNP-BC (PRESIDENT)
(301) 332-7222
Entity
Organization
Contact information
Practice address
1818 NEW YORK AVE NE STE 215, WASHINGTON, DC 20002-1849
(301) 332-7222
Mailing address
1818 NEW YORK AVE NE STE 215, WASHINGTON, DC 20002-1849
(301) 332-7222
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/13/2019
Last updated
01/29/2020
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