| NPI | 1366299836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MONTVILLE President 410-886-7398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2025-01-13 |