| NPI | 1093340960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SINGLETON Office Manager 410-946-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |