| NPI | 1114783792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETITIA BOLDS Physician 301-941-7635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |