| NPI | 1174344881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELECHI AGUGUO Manager 443-922-8986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |