| NPI | 1710250543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COIRE WEATHERS Owner 443-631-2209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ID M-11538) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2021-04-21 |