| NPI | 1659261741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN ADAEZE IMO Nurse Practitioner/Owner 410-449-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-08-08 |