| NPI | 1104685726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEKUNLE ADEGBESAN C RN P Pmh 410-361-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |