| NPI | 1457801730 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TOCCARA MONIQUE MOSLEY Owner 443-202-0983  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R170588)  | 
| Enumeration Date | 2016-10-10 | 
| Last Update Date | 2016-10-10 |