| NPI | 1215398334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANDRAJ MATTAI Owner 443-542-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D67668) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |