| NPI | 1386361731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JENKINS Owner 410-844-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2026-07-16 |