| NPI | 1295051621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHISLAINE FOUGY Provider 410-717-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0018251) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2025-05-30 |