| NPI | 1043466147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE C DENTON Practice Manager 410-931-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-09-18 |