| NPI | 1205490125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CREOLA E LEVY Owner 443-221-0566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |