| NPI | 1013259084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CATHERINE MCCARTHY Billing 443-595-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2025-12-22 |