| NPI | 1891352167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH LEIGH WROTEN Office Administrator 443-260-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-28 |