| NPI | 1609561059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA C NWAORGU Owner 443-805-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-08-16 |