| NPI | 1184374936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATOUMATA NIAGADO Nurse Practitioner 410-936-3768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-04-16 |