| NPI | 1396141354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIU EUBANKS Psychologist 443-200-4872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 05244) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |