| NPI | 1992375562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ITORO E ABATAI President 443-691-5498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |