| NPI | 1902435365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDDY MORGAN C RN P Pmh 443-741-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2021-03-09 |