| NPI | 1184042004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI A MURTHA Owner 410-321-1388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R114531) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-03-29 |