| NPI | 1700486610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN SOLAZZO Physician/Owner 410-583-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |