| NPI | 1417632571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKIA AYANA EVANS CEO & Owner 410-937-7897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-11-09 |