| NPI | 1114762382 |
|---|---|
| Doing Business As | MEMORIAL PARK PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GLAVESKAS Credentialing Supervisor 443-962-3945 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |