| NPI | 1811318801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID AHMED Owner 410-294-4098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA MD60294763) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |