NPI | 1396597100 |
---|---|
Entity Type | Organization |
Authorized Contact | MAUREEN EDOZIE C RN P, Fnp, Pmhnp 443-509-7036 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2024-04-04 |
Last Update Date | 2024-04-04 |