NPI | 1801458757 |
---|---|
Entity Type | Organization |
Authorized Contact | HAWANYA TENE JERRY Medical Biller 443-221-7447 |
Organization Subpart ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
Enumeration Date | 2019-07-01 |
Last Update Date | 2019-07-01 |