| NPI | 1265290035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN MANNING Psychiatric Nurse Practitioner 443-331-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-04-23 |