| NPI | 1962164533 |
|---|---|
| Doing Business As | JHU - PEDIATRICS/ADDICTION PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | SHAVONDA L KEATING Director Of Provider Enrollment 410-933-6430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2021-10-11 |