| NPI | 1992327068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIL KWABLA FIASORGBOR Psychiatric Nurse Practitoner 443-655-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |