| NPI | 1427308063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA FIELDS Neuropsychologist/Owner 443-908-1692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MD 05106) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: MD 05106) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |