| NPI | 1205649084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATARINA FAVALLI FLEURY President 410-530-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |