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 |