| NPI | 1851785869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MARSHALL Owner 443-285-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-09-04 |