| NPI | 1396808895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP BRYAN DVOSKIN President 410-760-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D0003032) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |