| NPI | 1720853575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA BENEWAAH Owner 410-499-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |