| NPI | 1689423774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TSIGE ALEMU-WOLDEMICHAEL Owner 443-492-9816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |