| NPI | 1922365626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY C BELL Medical Director 443-613-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: MD dd0038775) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |