| NPI | 1275387110 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MAUREEN OWOH Psychiatric Nurse Practitioner 443-963-3876  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2024-04-16 | 
| Last Update Date | 2025-04-07 |