| NPI | 1245984715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE D HAWKINS Nurse Practitioner 443-858-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |