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 Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-11-15 |
Last Update Date | 2021-12-14 |