| NPI | 1861115198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOBOLAJI O ROSANWO Owner Of Entity 443-858-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |