| NPI | 1609459445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LECHIA FREDERICK CEO/Nurse Practitioner 410-861-0740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-04-29 |