| NPI | 1457640864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA LOWTAN Program Director 410-990-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MD D0058483) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0058483) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2012-04-20 |