| NPI | 1528880804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA CAMPBELL Interim EVP/CFO 443-849-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-08-12 |