| NPI | 1083033708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L KRAUS Owner 443-421-0204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R080023) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-07-02 |