| NPI | 1205525334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADETUTU AWODIPE President 443-621-2203 |
| 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 | 2023-05-04 |
| Last Update Date | 2023-05-04 |