| NPI | 1013706456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD MUGO Owner Of Entity 410-645-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |