| NPI | 1013651306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA DALPHINE BAILEY CEO 443-203-8681 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-04-23 |
| Last Update Date | 2023-11-29 |