| NPI | 1053505461 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TERRYE ANN MARIE MOWATT Psychiatrist /Director/Owner 410-381-0060  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0053895)  | 
| Enumeration Date | 2007-08-29 | 
| Last Update Date | 2008-04-20 |