| NPI | 1366928665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE W LYONS C RN P Owner 240-216-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD R109198) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology Forensic Psychiatry (Licence: MD R109198) |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: MD R109198) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MD R109198) | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |