| NPI | 1538869425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA BENEWAAH Owner 410-499-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |