| NPI | 1740948694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINYERE MABLE OBI Medical Director 443-985-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2023-06-29 |