| NPI | 1265716138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL C BERMAN Director 410-337-8193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MD 2032) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |