| NPI | 1942587662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA ANN MACKALL Administrative Assistant 410-266-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |