| NPI | 1003644030 |
|---|---|
| Doing Business As | EQUANIMITY INTEGRATED BEHAVIORAL HEALTH & WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | REGINALD EUGENE DEGRAFENREID Owner 443-708-8139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |