| NPI | 1063997708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG HOWARD LIPPENS Director 410-853-7691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |