| NPI | 1174559819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOUGLAS BUTLER Medical Director 410-848-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1299) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2013-02-12 |