| NPI | 1427768225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE KOUKOULIS Owner/Director 443-457-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |