| NPI | 1295808095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE V. DAUM Resident Agent 301-230-3168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0048104) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-06-27 |