| NPI | 1508334459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS THOMAS AUGUSTUS PRIOLO CFO 443-643-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2022-06-16 |