| NPI | 1144714536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBE MCAULIFFE CREANEY Owner 410-925-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MD U01722) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |