| NPI | 1891409165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA RADAMS Nurse Practitioner 443-622-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |