| NPI | 1144769530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R SIMMONS Owner 410-252-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0030190) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |