| NPI | 1164884466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY R WRIGHT-SISK Director 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD R204261) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2021-08-27 |