| NPI | 1851272488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH-VENATIUS I OSUAGWU Medical Director 410-325-5700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 208000000X Pediatrics | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |