| NPI | 1538548664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLUS CEPHAS Medical Director 301-891-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |