NPI | 1457112047 |
---|---|
Doing Business As | IAW BEHAVIORAL HEALTH & WELLNESS |
Entity Type | Organization |
Authorized Contact | TIFFANY ROSS Nurse Practitioner 410-971-2271 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-01-19 |
Last Update Date | 2024-04-27 |