| NPI | 1336503317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIMBOLA A RUNSEWE Authorized Officer/Owner 443-272-7858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2019-05-01 |