| NPI | 1952284044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINWE M OKUDO Medical Director 443-868-7405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |