| NPI | 1841686086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GAIL JOHNSON Psychiatric Nurse Practitioner 410-776-3652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: MD R189440) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-16 |