| NPI | 1659389674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BIBBO Senior Administrator 410-328-6771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-06-24 |