NPI | 1801152962 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLI MORMILE President 410-777-8130 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 05046) |
Enumeration Date | 2012-04-03 |
Last Update Date | 2015-06-17 |