| NPI | 1629963202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY HUNT Nurse Practitioner 410-212-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |