NPI | 1275161960 |
---|---|
Former Legal Business Name | ZION WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | MANJULA BORGE Psychiatrist 443-978-7316 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Enumeration Date | 2020-03-30 |
Last Update Date | 2020-03-30 |