| NPI | 1174961700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALETTA MUZILA Executive Director 443-388-9654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |