| NPI | 1184369472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA ELAINE STEWART Owner 443-538-4245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2022-05-01 |
| Last Update Date | 2022-07-18 |