| 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 |