NPI | 1356857395 |
---|---|
Doing Business As | MD MATT |
Entity Type | Organization |
Authorized Contact | MD MATT Owner And Business Manager 443-559-4137 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2017-12-27 |
Last Update Date | 2024-07-16 |