| NPI | 1730143991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ J. E. CORREA-CASHDOLLAR Practice Manager 410-833-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MD D0020136) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2017-04-19 |