| NPI | 1104051440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RAPATTONI AO 443-481-5136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 207R00000X Internal Medicine | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 283Q00000X Psychiatric Hospital | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2024-10-16 |