| NPI | 1184159196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARIAS VASILIOS MAVROPHILIPOS Member 410-779-9609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: MD d0050622) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |