| NPI | 1295379121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIUS SANTOS Psychiatric Nurse Practitioner 410-505-7952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2023-08-16 |