| NPI | 1760148720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA M SWANSON Owner/Provider 410-420-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-12-14 |