NPI | 1740853753 |
---|---|
Entity Type | Organization |
Authorized Contact | TOLULOPE LAWSON-JOHN CEO 410-978-6577 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-07-19 |
Last Update Date | 2022-11-15 |