| NPI | 1518213982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SMITH Medical Director 410-296-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 04668) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |