| NPI | 1992712897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BIBBO Senior Administrator 410-328-6771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2008-07-21 |