| NPI | 1154255404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH PHILIPPE Managing Member 410-807-2372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-06-11 |