| NPI | 1720870983 |
|---|---|
| Other Name | MODENA RESERVE AT KENSINGTON |
| Entity Type | Organization |
| Authorized Contact | ROBINA NIAZI Owner 410-980-2089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |