| NPI | 1407962350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZY F NASHED Owner 410-392-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0060959) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C10007499) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |