| NPI | 1083253900 |
|---|---|
| Other Name | CITYWIDE BEHAVIORAL HEALTH PRP |
| Entity Type | Organization |
| Authorized Contact | PAMELA P JOHNSON Owner 410-484-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |