| NPI | 1962229914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEKEYA HUTTON Owner 410-419-9428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |