NPI | 1740177294 |
---|---|
Former Legal Business Name | MENTAL HEALTH ASSESSMENT AND WELLNESS, LLC |
Entity Type | Organization |
Authorized Contact | KATHERINE CORNELL Owner 410-842-6055 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2025-06-18 |
Last Update Date | 2025-09-10 |