| NPI | 1184049736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVIKUMAR BHALAVAT Owner 410-670-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0074790) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2018-03-20 |