NPI | 1043830474 |
---|---|
Entity Type | Organization |
Authorized Contact | OLAYEMI E OLAJUYIGBE CEO 443-538-6352 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-04-27 |
Last Update Date | 2025-07-09 |