| NPI | 1942581582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED JOSEPH AMADO Vice President 301-355-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04538) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: MD 04538) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |