| NPI | 1265708770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD VINCENT KELLY Owner 301-657-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0006243) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |