| NPI | 1831823574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINA CADE Owner 410-615-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2022-10-02 |