NPI | 1760773097 |
---|---|
Entity Type | Organization |
Authorized Contact | ARUNDHATI GOGINENI President 443-869-5303 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 16270) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2011-04-20 |