| NPI | 1326748880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STECY OLA President 410-204-2866 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-08-11 |