| NPI | 1689459489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SYDNOR Family Nurse Practitioner 443-827-3802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2025-03-02 |