| NPI | 1295089480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GONZALO LAJE President 301-576-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MD D62330) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |