| NPI | 1104234590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFIANI HAYS Director Of Pediatric Nutrition 410-614-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281PC2000X Chronic Disease Hospital, Children (Licence: MD DX3435) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |