| NPI | 1609531904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ELIZABETH HOLMES Owner 410-694-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-11-02 |