| NPI | 1487463956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANAZAR BEASLEY CEO 443-413-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |