| NPI | 1528586112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE NWANA President/Owner 443-803-5391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2020-05-05 |