| NPI | 1740022854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LECHIA FREDERICK CEO, Nurse Practitioner 410-861-0740 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |