| NPI | 1689853293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON G BENTLEY Owner 410-337-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 01720) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0000759) | |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2023-06-19 |