NPI | 1457086522 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCISCA ONYEDUM President 443-983-3559 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-07-21 |
Last Update Date | 2022-07-21 |