| NPI | 1164173159 |
|---|---|
| Doing Business As | MT. WASHINGTON PEDIATRIC BEHAVIORAL HEALTH GROUP |
| Entity Type | Organization |
| Authorized Contact | MARY DEBORAH MILLER Chief Financial Officer 410-578-5163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |