| NPI | 1811691900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYSHA M JONES President 443-273-1536 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |