| NPI | 1255625844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULA PONTICAS President 410-828-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 02426) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |