| NPI | 1811578347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA NGUH Owner 410-521-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2024-01-10 |