| NPI | 1558355644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA J HALLER Vice President & Treasurer 301-977-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD12620) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0023516) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2008-12-18 |