| NPI | 1861109142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES CAMPBELL Owner 443-530-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 171R00000X Interpreter |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2025-11-14 |