| NPI | 1952803629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN A ANDERSON Owner 410-253-9697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D40200) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |