NPI | 1740008358 |
---|---|
Entity Type | Organization |
Authorized Contact | TEMIKA HEYWARD Nurse Practitioner 410-696-5142 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-10-01 |
Last Update Date | 2024-10-02 |