| NPI | 1669501805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W GOODMAN Director 410-583-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD 2084P080X) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |