| NPI | 1053448688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN FARRELL Credentialing Coordinator 410-328-8025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: MD H0046145) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |