| NPI | 1851038632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WHITE Medical Director. 443-801-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2022-05-20 |