| NPI | 1184049264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DENISE WEBB Credentialing Administrator 240-454-1649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: KY 46645) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |