| NPI | 1790366193 |
|---|---|
| Former Legal Business Name | LONG INTEGRATED PSYCHIATRIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | ANGELA LONG Owner 410-508-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2023-03-21 |