| NPI | 1508646506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSTINE ANAKARAONYE Owner 443-400-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-20 |