| NPI | 1922877075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITHIN KRISHNA Medical Doctor 410-544-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103T00000X Psychologist |
| 174H00000X Health Educator | |
| 251300000X Local Education Agency (LEA) | |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |