| NPI | 1164370953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE STANLEY Pmhnp Bc 443-707-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-03-18 |
| Last Update Date | 2026-07-11 |