| NPI | 1023879061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVAREITTA MARGARETTE BAILEY WOOLLERY Owner 443-223-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |