NPI | 1619364825 |
---|---|
Entity Type | Organization |
Authorized Contact | BOBBI BROWN Practice Administrator 443-410-8642 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD D58483) |
Enumeration Date | 2015-04-25 |
Last Update Date | 2015-07-16 |