| NPI | 1558050054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE L RILEY Owner 410-431-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2024-07-16 |