| NPI | 1013117241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED FAJERSKI Executive Director 410-318-6816 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2013-09-12 |