| NPI | 1295334506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE A NWANA Owner 443-803-5391 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2021-07-21 |