| NPI | 1740731199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW B. BERTELL Psychotherapist 443-240-8276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 19539) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |