| NPI | 1154623452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK R BRILL Director 443-535-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1518) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2011-12-28 |