| NPI | 1457915142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA K-ACKAH Psychiatric Nurse Practitioner 443-851-3693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-04-28 |
| Last Update Date | 2020-08-03 |