| NPI | 1164018842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE WILLIAMS Psychiatric Nurse Practitioner 443-900-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2023-06-16 |