| NPI | 1952171084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA KWEGYIR-AFFUL Chief Executive Officer 443-636-0983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |