Organization
ALLIANCE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PARK CRNP (MEMBER)
(410) 834-3274
Entity
Organization
Contact information
Practice address
8840 STANFORD BLVD STE 4000, COLUMBIA, MD 21045-5850
(410) 834-3274
Mailing address
8840 STANFORD BLVD STE 4000, COLUMBIA, MD 21045-5850
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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