| NPI | 1124204854 |
|---|---|
| Other Name | MARYLAND INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | DAVID P FAGO Director 301-277-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 01730) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |