| 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 |