| NPI | 1972124816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY O FADOJU Provider 410-869-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |