| NPI | 1013617331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE BROWN Billing Manager 410-800-6251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |