NPI | 1346126216 |
---|---|
Doing Business As | SHEPHERDS PATH MENTAL WELLNESS |
Entity Type | Organization |
Authorized Contact | BOLANLE C THANI CEO 443-449-9019 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-08-14 |
Last Update Date | 2025-08-14 |