| NPI | 1992314363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA BENEWAAH Authorized Official 443-687-9135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2023-01-15 |