| NPI | 1902383318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW COLE Owner 443-920-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2020-07-17 |