| NPI | 1154098077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLAJI OLUGBOJA Owner 410-301-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-12-21 |