| NPI | 1225468507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JOHNSON Nurse Practitioner 410-274-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |