| NPI | 1548086291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONYEANWUNA PATRICK OKPAH Administrator 443-425-9448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |