| NPI | 1376073643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARITY ALLWELL Director 443-755-5124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: MD R4010) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-06-05 |