| NPI | 1457051831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STAMPER Franchise Owner 443-336-9745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |