| NPI | 1114044930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A ACEITUNO Administrator 301-262-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2013-03-28 |