| NPI | 1447433925 |
|---|---|
| Doing Business As | FFCC |
| Entity Type | Organization |
| Authorized Contact | DAVID JOSEPH FOWLER Owner 410-761-8708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 01048) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 01048) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-07-22 |