NPI | 1295561819 |
---|---|
Entity Type | Organization |
Authorized Contact | LATOYA SEWELL Owner 443-459-1624 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-09-10 |
Last Update Date | 2024-11-04 |