| NPI | 1073030581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK J HUDAK President/CEO 410-576-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |