| NPI | 1568869832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIUDI FAN Psychiatrist 443-955-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 0059727) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |