NPI | 1255954400 |
---|---|
Entity Type | Organization |
Authorized Contact | MERCY O FADOJU Provider 410-869-4602 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
Enumeration Date | 2020-05-22 |
Last Update Date | 2020-05-22 |