| NPI | 1376250613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY EHIZOKHALE Owner Of Entity 443-600-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-12-30 |