| NPI | 1144087735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIEL OTTER Psychiatric Nurse Practitioner 443-212-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2025-07-21 |