| NPI | 1043798259 |
|---|---|
| Doing Business As | JHU - EXECUTIVE HEALTH |
| Entity Type | Organization |
| Authorized Contact | SHAVONDA L KEATING Sr Production Unit Mgr 410-933-6430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2021-03-07 |