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 |