| NPI | 1780267542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINYERE KALU President 410-213-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2024-05-08 |