| NPI | 1790990398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE NOVELLE SAUNDERS Practice Manager 443-755-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |