| NPI | 1588404529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ADETOLA Owner Of Entity 410-672-7028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-01-23 |