NPI | 1003314675 |
---|---|
Former Legal Business Name | EHS |
Entity Type | Organization |
Authorized Contact | DAMIAN AYICHI Principal Associate/CEO 410-321-1961 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2018-01-29 |
Last Update Date | 2024-10-02 |