| NPI | 1477253862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY DAWSON CUMBERLAND Provider 410-205-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-10-15 |