| NPI | 1164892121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MATHEW MOULD Practioner 240-314-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD 1102338) |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2015-10-03 |