| NPI | 1821031543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RICHARDSON TODD President 410-543-8291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 2756) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-09-16 |