| NPI | 1306710793 |
|---|---|
| Other Name | AUTUMN LAKE HEALTHCARE AT PIKESVILLE |
| Entity Type | Organization |
| Authorized Contact | KAMAL SALAH H SEWARALTHAHAB Co Owner 410-661-4670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |