NPI | 1548839012 |
---|---|
Doing Business As | CLOSEKNIT |
Entity Type | Organization |
Authorized Contact | MARY JANE FAVAZZA CEO 410-528-7109 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 101Y00000X Counselor |
171M00000X Case Manager/Care Coordinator | |
207R00000X Internal Medicine | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2021-06-21 |
Last Update Date | 2024-08-08 |