| NPI | 1952358848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH WILLARD FAWCETT Principal Owner 301-262-5203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0029737) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-10-12 |