| 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 |