| NPI | 1861260325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANDERSON Owner 410-812-1732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-15 |