| NPI | 1861109142 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHRISTOPHER JAMES CAMPBELL Owner 443-580-6811  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 171R00000X Interpreter | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2022-11-04 | 
| Last Update Date | 2023-06-13 |