| NPI | 1902924780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN M. SIEGEL President 410-296-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |