| NPI | 1194193904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK ARNOLD MULLIS General Manager 410-483-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MD D0018254) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |