NPI | 1114691672 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE W MWANGI President 410-870-1590 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-08-06 |
Last Update Date | 2021-08-06 |