| NPI | 1871109181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LYNN WARREN Owner 410-209-7041 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2023-09-06 |