Moa Psychiatric Practice LLC
NPI #1295507127 in North East, Maryland
Provider Information
- NPI Number
- 1295507127
- Entity Type
- Organization
- Organization Name
- Moa Psychiatric Practice LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Oct 24, 2023
- Last Updated
- Oct 24, 2023
Practice Location
- Address
- 28 FLINT DR
- City
- North East
- State
- Maryland
- ZIP Code
- 21901-3746
- Phone
- (240) 997-0287
Authorized Official
- Name
- OLUMIDE MESIOYE
- Title
- PRESIDENT
- Phone
- (240) 997-0287
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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