| NPI | 1619498383 |
|---|---|
| Doing Business As | MARY DEBORAH WILSON PMHNP |
| Doing Business As | ISLAND CARE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARY DEBORAH WILSON Sole Provider 410-641-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD R056757) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD R056757) |
| 2084P0805X (Licence: MD R056757) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-07-21 |