| NPI | 1619815602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL POPOKO CEO 443-231-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-03-23 |