| NPI | 1992198139 |
|---|---|
| Other Name | MENTAL HEALTH GROUP PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MARIA MACCHIO Office/Billing Manager 410-923-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MD 905320) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-09-26 |