| NPI | 1548858590 |
|---|---|
| Former Legal Business Name | MEDINA PSYCHIATRY & SUBSTANCE ABUSE |
| Entity Type | Organization |
| Authorized Contact | ALICIA MEDINA Owner 410-245-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |