| NPI | 1972509362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLA SHRIVER Practice Manager 301-694-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MD D0035322) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2012-05-03 |