| NPI | 1851864037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RINU PRADHAN Office Manager 410-988-8092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2023-10-10 |