| NPI | 1912411323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID CHERNYAKHOVSKY Managing Partner 443-938-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |