| NPI | 1558602854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIEN NGUYEN Director 410-419-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0062240) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-06-03 |