| NPI | 1932765146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINWE M OKUDO CEO 443-868-7405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2025-10-23 |