| NPI | 1891920724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR CHERNYAKHOVSKY Managing Member 443-691-8522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MD 23093) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |