| NPI | 1154990257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAZE ERNEST OKORO Medical Director 443-557-8719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-22 |