NPI | 1295233617 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER LEWIN Owner 410-828-7045 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0027329) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-01-31 |
Last Update Date | 2018-01-31 |