| NPI | 1902635881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE QUELCH Owner 443-304-7457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2025-11-14 |