NPI | 1568225316 |
---|---|
Entity Type | Organization |
Authorized Contact | MUHAMMED ARIF NIAZ Managing Member 410-392-6408 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
207RA0401X Internal Medicine, Addiction Medicine | |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-02-05 |