| NPI | 1225653926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLUDIA EFUA KWAKYE-ACKAH Owner 443-851-3693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-08-03 |