NPI | 1023305885 |
---|---|
Entity Type | Organization |
Authorized Contact | LAKSHMI PRASINA BADDELA Psychiatrist/Owner 443-371-6999 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: MD D0047873) |
Enumeration Date | 2011-06-30 |
Last Update Date | 2024-07-09 |