NPI | 1235984220 |
---|---|
Entity Type | Organization |
Authorized Contact | ALOYSIUS C IBE Managing Member 443-793-5093 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-04-22 |
Last Update Date | 2024-04-22 |