| NPI | 1033524855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S KAHAN Member 410-571-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2020-09-22 |