NPI | 1558648410 |
---|---|
Other Name | FREDERICK PHP |
Entity Type | Organization |
Authorized Contact | JAMIE LEA BARKDOLL Cred Coordinator 301-733-0331 |
Organization Subpart ? | No |
Primary Taxonomy | 283Q00000X Psychiatric Hospital |
Enumeration Date | 2011-11-07 |
Last Update Date | 2018-10-01 |