| NPI | 1376999581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADONACA BARRETT Nurse Practitioner 410-747-2527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |