| NPI | 1932968856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL SALAH H SEWARALTHAHAB Co Owner 410-646-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 208VP0000X |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2025-09-15 |